50D0990556 CLIA NUMBER - EVENTIDE HEALTH

Laboratory Demographics

  • CLIA Code: 50D0990556
  • Facility Name: EVENTIDE HEALTH
  • Facility Address: 232 A ST # 3
    FRIDAY HARBOR, WA
    ZIP 98250
  • Facility Phone: (360) 378-1338
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM F. HOUSE
  • NPI Number: 1669010476
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0990556
LAB Type Physician Office
Facility Name EVENTIDE HEALTH
Street 232 A ST # 3
City FRIDAY HARBOR
State WA
ZIP 98250
Phone 3603781338
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/24/2001
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director WILLIAM F. HOUSE

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This page was last updated on: 5/18/2026